Monday, October 27, 2008

hazards of baby walker.

n Mr. Mohan ckp lagi when he was lecturing on paeds trauma.

'get rid of the baby walker. it brings bad things rather than good things.'

nape?
- your child will be RUNNING PREMATURELY! mane tak nye..
if ikut normal developmental progress of a child, they should only be running at the age (mean age) of 1.5-2 years old.. if dh letak your baby dlm walker as early as 6-8 month old. tak ke awal tu dia berlari..

- so dah boleh lari awal, this will predispose anak2 yg tak bersalah kepada other injury.
masuk toilet ke. ke dapur then dpt burn injury from minyak panas or air panas. ye la budak kecik semua nak dicapai. kalau capai pisau lagi laa haru.... kalau jatuh tangga lagi laa tak tau nak ckp apa...

- lagi ~ abnormal abduction of the hip. maksudnye maka kengkang lah bayi itu. cuba tgk cane bdk duduk dlm walker tu.. hmmm...

kata mr mohan lg.. the west dah byk buat research on this topic. the results are mostly against the use of baby walker. they're trying to get rid of the walker. then they dumped them here in the east or asia.
n kita yg tak tau, pi laa bli walker for our children supaya senang keje.
senang ke? elok2 baby baring2 golek2 tp skrg nak kene keep eye ke mana dia dah cruise...

hmmm....

nie salah satu dr studies itu..

sesungguhnya pisau itu mmg tajam!

huhu. mmg tajam.
sekali 2 jari jemariku dihiris!
selepas brapa bulan tak menghiris jari.

sibbaik sedap bihun goreng itu...

*alangkah bosan nye weekend panjang di penang seorang diri....*

Saturday, October 25, 2008

Homemade ORS part II

As i've promised, so here's a translated version of
"How to make a Home-Made-Oral-Rehydration-Solution"
as requested by my beloved along. =)))

Bahan2 nye:
1. 1 liter air. Dididih n disejukkan ke suhu bilik.
{penting utk biar air dididihkan utk bunuh kuman2 nye n
biar ia sejuk dgn cara yg betul. jgn biar terdedah kt lalat atau pape lain yg kotor..
n jgn guna air yg panas menggelegak nak bancuh bahan2 nie.
air panas mendidih akan men'decompose' gula.}

2. 8 SUDU TEH gula

3. 1 SUDU TEH garam
{sila measure baik2 garam nie. jgn terlebih byk pulak ye.
sbb nye bdk2 tak suka laa of kelat masin sgt. tak sedap.
mereka tak nak minum nnt.
N 2ndly, dlm kes2 terlampau ,
byk sgt garam nnt boleh kena fit/ sawan/ tarik.
makanya, air bancuhan tu nnt sepatutnye rasa masin2 mcm air mata sahaja.
kalau lebih masin dari air mata, perlulah dibuang yg it dan buat lah yg baru.}

Skrg bancuh dlm bekas yg BERSIH...

Bila nak minum?
setiap kali lepas cirit-birit...

Byk mana??
preferably, more or less the same amout of fluid loss.
Mcm.. if the diarrhoea is about 'secawan penuh',
so bg laa about secawan juga..
Tp tak yah laa bg semua sekali gus. sedikit demi sedikit.
If ada muntah2 juga, tunggu 15-20 minit,
then baru start bagi ORS sikit2...

** org dewasa n kanak2 yg dh besar sket preferably drink total of 3/4 - 1 litre/day until they are well.

** kanak2 bwh 2 tahun: around 1/4 - 1/2 of cawan tiap kali lps cirit birit.
**kanak2 > 2tahun : 1/2 - 1 tiap kali lepas cirit birit itu..
.

What do u do with the extra solution??
Boleh simpan dlm peti sejok MAX OF 24 HOURS sahaja.
after 24 jam, buanglah ORS yg tak habis tu..
bacteria ke, virus ke, yeast ke, fungus ke boleh membiak dlm air bancuhan ORS itu.
Sbb the solution contains gula kan..?
"Sugary" solution grows microbs faster. Nnt the diarrhoea tak berhenti pulak.


Note:
~ ORS bukan ubat utk hentikan cirit birit. Ia cuma ganti semula fluid n garam dlm badan yg hilang bersama2 cirit birit itu...
~ Selalunya cirit birit biasa disebabkan oleh virus. jd biasanya akan elok sendiri dlm beberapa hari... antibiotic tidak membantu. kan ke antibiotic tu utk bakteria, bukan nye virus. =)
~ sila beri makan anak2 anda seperti biasa.. nasi nya ke, susu nya ke.. n advise minum air byk2 juga. igt jgn campur ORS anda ngan susu or jus. guna AIR KOSONG untuk buat ORS.

~ bawa anak berjumpa doctors jika:
- anak semakin kurang selera makan..
- keadaan menjadi lebih tak sihat
- DEMAM
- ada DARAH bercampur ngan cirit birit itu.
mungkin cirit birit bukan hanya disebabkan oleh virus biasa. jadi rawatan selanjut n proper perlu dilakukan...

Informations are gathered from Rehydration Project website
and
Paediatrics Protocol for Malaysian Hospital under Gastroenterology, Chapter 56: Acute Gastroenteritis.

plz leave a message if need further clarification ye.
Hope this post maybe beneficial. =))

hello sunshine!!

yesterday i had a lecture on common surgical problem in paeds, trauma n burns.
mr. mohan took us.
mr. mohan, a tall n long n funny guy.
owh n he looks like alex mahone in prison break. haha.
but seriously.
his class was never boring at all.
nyesal pulak that i ponteng his class before the raya break the other week.

anyway, the things that i remember most:
"if u never shake the tree,
you'll never get the mango!!"

hihi.

dia ckp lagi:
"never accept anything that is presented to you as if the are a doctrine.
ask questions. critically appraised even if its a trial published in a well known journal!"

okey2. i'll have to critically appraise this review paper for my neonate write-up.
hohoho. critically appraise a review paper. from cochrane library pulak tu.
n its prof jackie's paper. bijak sangat kamu mazlinda.
mcm dah takley pilih paper lain.
masak laa saye. huhu

Thursday, October 23, 2008

Be strong ye Sab..

Td sab bgtau, Tok dia dah meninggal..
Inna Lillahi wainna illahi raajiun..
Sab nie mmg sangat rapat ngan Tok nye.

Be strong ye sab.
Setiap yg hidup pasti akan mati.
Semoga Tok ditempatkan dikalangan org2 yg dirahmati.

Homemade ORS

As i've promised, so here's an entry on
"How to make a Home-Made-Oral-Rehydration-Solution"

The ingredients:
1. 1 litre of Water. Boiled and cooled.
{it is important to let the water to boil to disinfect it n let it cool appropriately,
making sure that the water is not exposed to lalat or what not.
Dont use hot water ye. As hot boiling water will decompose the sugar.}

2. 8 TEASPOONS of sugar

3. 1 TEASPOONS of table salt
{plz.. dont put too much of salt ye. first it may not taste good, n therefore
the child might not want to drink it. N 2ndly, in extreme cases,
too much salt may lead to convulsion/fit.
so the solution should taste like your tears.
kalau mcm terlebih masin, plz discard it n make a new one.}

Okey, now mixed these ingredients in a CLEANED container.

Bila nak minum?
After each bouts of diarrhoea...

How much?
preferably, more or less the same amout of fluid loss.
Mcm.. if the diarrhoea is about one cup full,
so bg laa about one cup juga..
Tp tak yah laa bg semua sekali gus. Sip by sip is fine.
a few tablespoon at a time.
If ada muntah2 juga, wait for about 15-20 mins,
then baru start giving the solution little by little.

** adults n kanak2 yg dh besar sket preferably drink about 3/4 - 1 litre/day until they are well.

** infant under 2 years old: around 1/4 - 1/2 of large cup after each diarrhoea.
**older children: 1/2 - 1 cup
after each diarrhoea.

What do u do with the extra solution??
you may keep them. refregerated MAX OF 24 HOURS sahaja.
after 24 hours, please discard ALL of the remainder.
The solution might grow bacteria ke, virus ke, yeast ke, fungus ke.
Sbb the solution contains sugar remember?
"Sugary" solution grows microbs faster. Nnt the diarrhoea tak berhenti pulak.


Note:
~ ORS does not stop the diarrhoea. It only replenish the salt loss with the diarrhoea.
~ Usually the diarrhoea is viral in origin, n therefore may resolve by itself. No need to take antibiotics.
~ plz continue feeding as usual.
~ DONT HESITATE to visit ur doctors if:
- ur child not able to drink or breastfeed or drink poorly.
- become sicker
- develops fever
- notice BLOOD in their stool.

Informations are gathered from Rehydration Project website
and
Paediatrics Protocol for Malaysian Hospital under Gastroenterology, Chapter 56: Acute Gastroenteritis.

plz leave a message if need further clarification ye.
Hope this post maybe beneficial. =))

Wednesday, October 22, 2008

Lucky ~ Jason Mraz


- Jason Mraz Lyrics

*I'm Lucky My Love is My bestfriend. ;p*

Monday, October 20, 2008

=)

then shortly before maghrib, a group mate who is suppose to do call on another night, decided to join us tonite text me.
"ey, u oncall alone? how are u going later? want me to fetch u?"

hihihi. bagai pucuk di cita ulam mendatang.

ps: just now i learnt how to make a 'homemade-oral-rehydration-solution'. i'll post up about it in the next entry lah. too tired. post-call. needed some rest.

to go or not to go....

hmmm... td, after short shower then asar, sy keluar bilik nak ke dapur. have to prepare something for iftar. then buka2 pintu bilik, nampak sab's car key n a note.

kata sab, she's not feeling well. n wont be able to make it for the night-call tonite. so, she leave me her car key so that i can still go later..

hmmmm... havent really drive in penang nie. cane nie.. last time i drove, after night call for o&g. sab wasn't feeling well jg at that time. but, masa tu late at night. tak byk kereta.

n its raining really heavily skrg. tgk dulu laaa. if it stops raining after maghrib, i'll go. if it still raining mcm nie... hmmmm...

*rain rain.. go away... come back another day ye...*

Saturday, October 18, 2008

mawi??

last night i was doing the night-call@night-duty at the NNW (neonatal ward).

so, after seeing the pre-term babies in the other cubicles, i went to the neonatal jaundice cubicle. there in the room was the parents of one of the baby. not sure what they were doing as they were facing the opposite site. nursing ke.. changing the nappy ke.. so, me n sab was clerking the ticket. biasalah, neonate mane bleh bg history, so their ticket laa the source of history. i wanted to check on this one baby yg ade hydrocephalus [accumulation of fluid in the cavities of the brain, causing enlargement of the head in children] with enchepalocele. [this is a variant of the neural tube defect, in which a part of the brain has extrude through the skull defect. so mothers n those yg planned to be mothers, do take your folic acid supplement ye. folic acid IS proven to prevent neural tube defect. =)]

so, as i was reading his progress, tiba2 that parents approach us from behind, 'tumpang tanye, toilet kat mane ye?'

n so i turn, pastu macam tergamam kejap. *apsal the dad rupa mcm mawi???* hehe. terus mcm lupa apa dia tanye. haha. n dah laa that night was our first night at that ward. n we usually use the staff toilet. so, how do i know?!. n the dad gelak je tgk kitorg mcm blur2 tak tau where's the visitors toilet. at last sab suggested that there might be a toilet along the corridor outside the ward.

haha. lawak btol. though im not a mawi fan, tp mcm terkejut jugak laa kan. owh btw, the dad WAS NOT MAWI YE. pelanduk dua serupa je.

okie then, nak finish off prematurity n its related problem. then read on neural tube defect pula.

mari belajar!

finally dapat semangat utk belajar rajin2!

why? sbb, i've (we've) get scolded (a few hours ago) by the m.o oncall for not knowing basic stuff!!

haha. padam muka. org dah suruh study malas...

but seriously, i finally have got the semangat. tq dr!! finally ade jugak org nak marah.

okie, ive got to read something on prematurity before going to bed! =)

Thursday, October 16, 2008

9701

back row: aeimi, idayu, malini, kar, ina, DINA, shikin, jenol, kay, AZA
sitting: karina, yana, dayana, petty, me, farrah, EEZA, alia, linda, dewi, SYARA.

i miss these girls lah. havent seen most of them for ages! or maybe jumpa some of them sekejap during petty's wedding. (petty is the one who's sitting to my right.)
to the left is farrah. i think this picture was taken on farrah's bday.
we (the 9701 girls) had this tradition in which the bday girl will pick a color, and every girls in our batch will be wearing that color for that night! hihihi. mcm kanak2 ek. but sweet. ;p

this weekend eeza buat open house... since im in penang, i couldn't attend it.
takpe2 isyaAllah next year dah boleh! ;) rindu nye kamu eeza!!
yes dina, if u're reading this, aku rindu ko juge. hehe.
ye ye, mek, aza, kar, jenol juge... hmmm...

Monday, October 13, 2008

EID OPENHOUSE @ PMC



So, jemput laa datang beraya with us!!
Hehehe. Nak buat cemane, as a working committee for this event, saye terpanggil utk mempromote our openhouse@ pmc tho its highly unlikely that any of the rakyat2 pmc menjenguk blog ini. ;p

Sunday, October 12, 2008

A Good Today, and A Better Tomorrow

Today I will delete from my diary
two days: yesterday and tomorrow
Yesterday was to learn
and tomorrow will be the consequence
of what I can do today

Today I will face life
with the conviction that this day
will not ever return.

Today is the last opportunity
I have to live intensely,
as no one can assure me
that I will see tomorrow's sunrise.

Today I will be brave enough
not to let any opportunity pass me by,
my only alternative is to succeed.

Today I will invest
my most valuable resource: my time,
in the most transcendental work: my life;

I will spend each minute
passionately to make
of today a different
and unique day in my life.

Today I will defy every obstacle
that appears on my way trusting
I will succeed.

Today I will resist
pessimism and will conquer
the world with a smile,
with the positive attitude
of expecting always the best.

Today I will make of every ordinary task
a sublime expression,

Today I will have my feet on the ground
understanding reality
and the stars' gaze
to invent my future.

Today I will take the time to be happy
and will leave my footprints and my
presence in the hearts of others.

Today, I invite you to begin a new season
where we can dream
that everything we undertake is possible
and we fulfill it,
with joy and dignity.

* A dear friend mailed me this poem sometime ago.. Wondering how's he doing now. Wish u well my dear friend. To U, ur wife n ur child*

Apabila kemalasan semakin menguasai....

huhuhu..

i haven't started my paeds case write-up. Not even a word!! huhu. The due date is tomorrow, 13 Oct by 5.00PM. We were given 2-weeks. In fact 3 weeks sebenarnya including the one week off for raya break. Tapi baru sekarang nak start buat. Sampai bila nak satisfy by just being a mediocre medical student!?... I used to be one of those high achievers during the school days. Where has that person gone?

I MUST get started! Stay focused. Be objective! dei!!! jangan malas lah! :((

**Adult learning is not easy.. Mcm langit ngan bumi.. mase O&G di-spoon feed seperti baby. Now Paeds semua kene buat sendiri n be independent... I'd be lost if not being objective n consistent.**

Wednesday, October 08, 2008

Like You'll Never See Me Again

BY Alicia Keys.

Like Youll Never See Me Again - Alicia Keys

If I had no more time
No more time left to be here
Would you cherish what we had?
Was it everything that you were looking for?
If I couldn't feel your touch
And no longer were you with me
I'd be wishing you were here
To be everything that I'd be looking for
I don't wanna forget the present is a gift
And I don't wanna take for granted the time you may have here with me
'Cause Lord only knows another day is not really guaranteed

So every time you hold me
Hold me like this is the last time
Every time you kiss me
Kiss me like you'll never see me again
Every time you touch me
Touch me like this is the last time
Promise that you'll love me
Love me like you'll never see me again

Oh Oh Oh

How many really know what love is?
Millions never will
Do you know until you lose it
That it's everything that we are looking for
When I wake up in the morning
You're beside me
I'm so thankful that I found
Everything that I been looking for

I don't wanna forget the present is a gift
And I don't wanna take for granted the time you may have here with me
'Cause Lord only knows another day is not really guaranteed

So everytime you hold me
Hold me like this is the last time
Every time you kiss me
Kiss me like you'll never see me again
(can you do that for me baby)
Every time you touch me
(see we don't really know)
Touch me like this is the last time
(see everyday we never know)
Promise that you'll love me
(I want you to promise me)
Love me like you'll never see me again
(like you'll never see me again)


Tuesday, October 07, 2008

the personality n their japanese name. :D

01. Yang pemarah - KEiJI CACIMAKI
02. Yang suka berjimat - SAYORI SUKAMURA
03. Yang bisu - KIETA TADASORA
04. Yang suka makan nasi - NANACHi KASIBANYA
05. Yang suka layan blues - APO NADIKATO
06. Yang suka belajar - ASHIKO ULANGKAJI
07. Yang kerap bikin kacau - WAKASI HURUHARA
08. Yang sangat kedekut - MATIMATI TAMOKASI
09. Yang suka sangat tidur - ICHIBAN TIDOMATI
10. Yang suka mengintai - HINTAI AKOSUKA
11. Yang tua - TARAGIGI PADANMUKA
12. Yang kena tinggal bini - SUSAHATI BINILARI
13. Yang suka merempit - SAJA CARIMATI
14. Yang Lembab - AYUMI SIPUTBABI
15. Yang suka BERSUMPAH - SAIIFOO BAUKARI

hiihihi. saje2 gelak2 dlm hati selepas buat quiz. :D

& my fave name wud be no. 03. KEiTA TADASORA.
sbb lgpon im having an URTI aka upper respiratory tract infection aka batuk n selsema n sakit tekak + suara ella rock! hihihi. but not exactly TADASORA. ;))

the undesired outcome!

during the first day in the ward after the raya break, i almost forgotten how a murmur should sound like!!

we were supposed to examine 2 different patient yesterday.

the first patient, during the first time auscultating, i was like "hmmm... the heart sound was funny. something is wrong. but ape ye???" then discuss with a colleague, and so i re-examine the patient. so yes, there's a murmur but the murmur i was hearing does not tally with the murmur i shud be hearing. so macam mana nie!! huhu

2nd patient. yes i heard the murmur. it was very obvious. but again. what i heard does not tally with what i shud he hearing! double macam mana nie!!!! waaaaaa!!!!

in conclusion: never go for too long a holiday without any revision!!

Sunday, October 05, 2008

The Raya Outcome.

With regards to the proposed mission ive made prior to cuti raya...
1. Kemas rumah: hihihihi. done. mostly cuci dinding with adeq. mostly the rearranging n redecorating was done by angah.

2. Kumpul duit raya: to my surprise, masih dapat!! haha. i mean, i thought the non-family dah tak bagi duit raye dah. tp tak ramai pon yg bg. hihi. well, this raya might be the last raya im expecting for duit raya sbb insyaAllah next year dah start kerja n so i have to give out duit raya laa pulak! huhuhu... ;p

3. Revisions on the kids: hmmm... done. n alhamdulillah i think they are perfectly normal. lungs are clear, heart DRNM. Developmental appears to be appropriate with age. its just that along is a bit concern that muji still cannot paddle the bike. but other gross motor development was normal.. but it cud be that he is just a bit late in that area.... otherwise he's fine. so sy advice along to voice up the concern to her doc during the next hospital or clinic visits in the near future..

so mission accomplished laa ek? ;))

others:

4. DAGING DAGING DAGING: saye menjual daging! yup, i did that. my very first experience. i was the butcher! so, as usual, 2 days before raya (especially in N9) is hari mantai. this is the day when ppl will buy daging2 fresh for rendang especially. during the previous years, abah will buy daging at kuala pilah but this year abah n a neighbor decided to jual daging themselves! so dah terlanjur di rumah, angah, adeq n myself volunteered to help. abah n the pak cik melapah. myself, as angah ckp dah biasa ngan darah2 was given the job to cut the daging into smaller parts n pack them. {yeah!! surgeon in the making!! haha.} and at the same time, studying the cows' internal organ mcm the lungs n kidney n liver n the spleen. habis saye cincang nak tgk the structure! haha. but cudnt lay hand on the intestines n brain. the intestines were the first to go. n the otak, abah open up the head lambat sangat. ive retired masuk rumah already. hihi

5. mercun n bunga api!!! after so many years, kami bermain bunga api skali lagi. haha. but mostly muji & me-me yg main. ;p

other&others.

6. Beraya ke rumah *sayang* =))) : with mak, abah, angah n adeq before bertolak ke bentong on Day3 of Raya. n mak made a killer statement there. "bdk2 nie mmg tak reti buat air...." hahaha. habis jatuh menjunam sahamku. hihi.

7. Makan banyak! yup, especially last sunday with abul. we had our dinner @ the kapitan. makan nasi briyani claypot. n surprisingly, i managed to finish up the whole big portion!! haha. but i guess maybe the nasi is not too filling mcm the usual nasi briyani. agaknye laa kan... tp kalau dah makan byk tu, mengaku je laaa...... ;p